Douglas Berger Psychiatrist Tokyo – Approach

Douglas Berger psychiatrist Tokyo takes a varied approach to psychiatry.  You can find information about that here on this page, or visit the main website of the Meguro Counseling Center.

Some of the more common problems that the therapists at the Tokyo Meguro Counseling Center have experience treating includes self-confidence problems, relationship/family problems, depression and manic depression, anxiety/panic, eating disorders, obsessive-compulsive disorder, phobias, substance and alcohol abuse, history of traumatic experiences (PTSD)/child abuse, feelings of unreality, sleep disturbances, psychosomatic (mind/body) disorders, women’s issues, gay and lesbian issues, and child and adolescent disturbances. The Tokyo Meguro Counseling Center has considerable experience in the treatment of depression. Corporate training and conflict resolution is also available, please inquire for details. In addition, Phone or Skype counseling is often provided for persons living in the Kansai area (Kobe, Osaka, and Kyoto).

Charts & Graphs. The Meguro Counseling Center often uses charts and graphs in order to conceptualize clinical issues in visual form. These are some examples of the many files used with clients at the Center (the graphs require individual discussion in order to make sense in context of each unique situation):

  • Core Issues and Defenses; a flow chart of the core psychological issues people have and the adaptive and maladaptive defenses people use.
  • Mood Effects On Psychology; a diagram of how abnormal mood can lead to feelings and behaviors that are not optimal.
  • Self Esteem Needs In Relationships; an illustration of how the mechanics of intimate relationships can lead to crashes in self esteem.
  • Obedience and Defiance Cycle; how a cycle between obedience and defiance can lead to resentment, guilt and fear, and secondary depression, anxiety, conflict, and decreased self-assertion.

Douglas Berger psychiatrist Tokyo - Meguro Counseling Center logoThe Tokyo Meguro Counseling Center strives to create a friendly and compassionate atmosphere in its counseling style. An eclectic counseling approach using a balance of the different major types of therapy (cognitive/behavioral (CBT), psychodynamic, supportive, group psychotherapy and others) is employed to fit with what each individual requires in order to achieve the goals set in the sessions.

Psychodynamic Psychotherapy: Also called insight-oriented psychotherapy. A central theme in therapy is that everyone has certain core issues like feeling inadequate or unloved that one sometimes makes maladaptive defenses against (ie. trying too hard to get noticed by others or getting into unhealthy romantic relations) that can lead to trouble for the individual. Understanding and re-working these defenses and how they lead to trouble, as well as minimizing the effects of one’s core issues is a very useful tool in therapy. A detailed description of this approach can be found here: Core Issue-Defense Paradigm, and this page illustrates some clinical case examples. This is a related paper on how defenses can be used in psychotherapy to help one understand and work-through maladaptive behavioral styles.

Cognitive Behavioral Therapy (CBT): CBT is helpful to delineate maladaptive and negative thinking patterns that often torment and distress people. CBT is particularly useful as an adjunctive and rehabilitation treatment for depression and other problems including low self esteem, anxiety, and other issues. Lists of thought distortions, records of dysfunctional thoughts and their rational reappraisal, life planning strategies that can overcome one’s usual negative pattern of behavior etc. are often given in a work-book fashion that can be an effective method toward self-improvement. This is an example of Psychopharmacology-Integrated CBT (Cognitive-Behavioral Therapy), where a medication-illness paradigm is integrated with a psychology-psychotherapy paradigm in order to boost treatment effects from both angles.

Depression & Anxiety: Sometimes an illness like severe depression or anxiety may require medication in order to allow the talk therapy to jump-start. The therapists at the Meguro Counseling Center have considerable experience in using psychiatric medications and keep up to date with the many medications used in Western countries that are not yet available in Japan. Your therapist can provide you with information and recommendations regarding psychiatric medication, and the Meguro Counseling Center works together with a number of physicians licensed in Japan who can provide a prescription as appropriate.

Click here for a QUICK DEPRESSION CHECK.

The Meguro Counseling Center is also experienced in Alcohol Treatment in Japan, and is happy to help persons with alcohol or substance abuse issues in Tokyo or greater Japan via phone or Skype counseling.

Related Counseling Approach Links

Douglas Berger psychiatrist Tokyo would love to hear from you.  Contact him here

Lithium for Alzheimers? https://t.co/9gC8ZvuTb0. Short 1.5 year follow up, treatment effect did not improve in the final 3 months. No head-to-head comparison vs memantine etc: https://t.co/blnRLs1xnq. Minor effect require careful modesty. Us: https://t.co/thlOKZInxr

Our Twitter posts are growing: @megurocounselng, @Douglas_Berger1, @Counsel_Tokyo. Please visit these feeds to see our commentary on news and research related to psychiatry, psychology, and our mental health counseling practice in Tokyo Japan.

We treat children, adolescents, and adults. The most common problems are depression & anxiety, ADHD, alcohol use disorders, personality problems and interpersonal problems: https://t.co/Cq2lOlCxaL

Most FDA black box's are great but the one on antidepressants and suicide in children and adolescents were found to be untrue & actually increased suicide attempts. So far, the FDA has refused to accept the evidence: https://t.co/lw9HWItoUL. Us: https://t.co/Jg8Gs54tBG

Anti-methamphetamine article ghost-written by NIDA for NIDA-supported researcher Dr. Moszcynska: https://t.co/B9eZJmAKSg claims no conflict of interest & aims to curb amphetamine prescriptions. Funding by NIDA with taxpayer money needs transparency. Us: https://t.co/LhXrtHgwaT

Load More...

Direct exam doesn’t raise the validity of a psychiatric diagnosis which is based on subjective categories: https://t.co/UtUzgeHQry. POPULATIONS of a diagnosis have more neurologic findings vs normals but that doesn’t help diagnose an INDIVIDUAL. Us: https://t.co/9aRvyKD62E

Gender Identity: personal sense of one's gender. Biology is a strong factor, socialization plays a role: https://t.co/R18jBLIQa3. 0.3% of the US identifies as transgender (TG): https://t.co/iNJsDobn3w. TG persons should be destigmatized w/equal rights. Us: https://t.co/22ATcUhzv1

Interjecting important medical information: CAR-T cell therapy for solid tumors: https://t.co/vOeEpl8eri. Making strides in antigen-targeted oncology treatments. Us: https://t.co/rki2U75koq

The Tarasoff rule is on potential for harm that others besides the therapist do not know: https://t.co/UtUzgeHQry. For political figures, everyone knows what may or may not happen, there is no secret or a diagnoses that a therapist needs to tell. Us: https://t.co/oI7l79bRSG

The government's regulations do favor the rich: https://t.co/NUFFaYLrEX, but the quality of life of the middle class is the correct value to look at, not the top 1%. The middle class's standard of living is improving: https://t.co/5pNWsAqDpX. Us: https://t.co/CcbDgs5z45

Load More...